Providence Health & Services - Washington

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Company Details

Name:	Providence Health & Services - Washington
Jurisdiction:	MISSISSIPPI
Business Type:	Non Profit Corporation
Status:	Good Standing
Effective Date:	27 Jan 2022 (3 years ago)
Business ID:	1321544
State of Incorporation:	WASHINGTON
Principal Office Address:	1801 Lind Ave SW, #9016Renton, WA 98057

Agent

Name	Role	Address
C. T. CORPORATION SYSTEM	Agent	645 LAKELAND EAST DRIVE STE 101, FLOWOOD, MS 39232

Assistant Secretary

Name	Role	Address
James D. Watson	Assistant Secretary	1801 Lind Ave SW, #9016, Renton, WA 98057
Donald W. Anderson Jr	Assistant Secretary	1801 Lind Ave. SW, #9016, Renton, WA 98057

Director

Name	Role	Address
Isiaah Crawford, Ph.D	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Richard Blair	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Phyllis Hughes, RSM, Dr. PH, Sr	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Diane Hejna, CSJ,RN, Sr	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Michael Murphy	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Charles Sorenson MD	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Eric Sprunk	Director	1801 Lind Ave. SW, #9016, Renton, WA 98057
Mary Lyons, PhD	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Mary Beth Kingston	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Marvin O'Quinn	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Donna Markham	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Linda Buck, CSJ, Sr	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
Karin Dufault, SP, Sr	Director	1801 Lind Ave SW, #9016, Renton, WA 98057
R. Omar Riojas	Director	1801 Lind Ave. SW, #9016, Renton, WA 98057

Secretary

Name	Role	Address
Anna Newsom	Secretary	1801 Lind Ave. SW, #9016, Renton, WA 98057

Treasurer

Name	Role	Address
Gregory Hoffman	Treasurer	1801 Lind Ave SW, #9016, Renton, WA 98057

Chief Financial Officer

Name	Role	Address
Gregory Hoffman	Chief Financial Officer	1801 Lind Ave SW, #9016, Renton, WA 98057

Assistant Treasurer

Name	Role	Address
Jim Martin	Assistant Treasurer	1801 Lind Ave SW, #9016, Renton, WA 98057

President

Name	Role	Address
Darryl A. Elmouchi MD	President	1801 Lind Ave. SW, #9016, Renton, WA 98057

Chief Executive Officer

Name	Role	Address
Darryl A. Elmouchi MD	Chief Executive Officer	1801 Lind Ave. SW, #9016, Renton, WA 98057

Filings

Type	Status	Filed Date	Description
Non-Profit Annual Report	Filed	2025-05-13	Annual Report For Providence Health & Services - Washington
Formation Form	Filed	2022-01-27	Formation For Providence Health & Services - Washington

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Date of last update: 28 May 2025

Sources: Company Profile on Mississippi Secretary of State Website